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目的探讨难治性青光眼致悬韧带异常或晶状体半脱位手术治疗的方式及手术时机。方法回顾性分析5例青光眼致悬韧带异常或晶状体半脱位的临床资料和治疗方法。结果 5例患者在高眼压下于悬韧带非异常象限行单纯抗青光眼手术或联合张力环植入和后房型人工晶状体植入术。术后眼压正常,视力有不同程度的提高。结论原发性急性闭角型青光眼有引起晶状体悬韧带异常的可能,并致眼压控制不理想。仔细检查了解悬韧带的情况,选择恰当的手术部位,及时把握手术时机对患者的预后非常重要。
Objective To investigate the surgical treatment of suspensory ligament abnormality or lens subluxation caused by refractory glaucoma and the timing of its operation. Methods The clinical data and treatment of 5 cases of abnormal glaucoma caused by suspensory ligament or subluxation of lens were retrospectively analyzed. Results Five patients underwent pure glaucoma surgery or combined tension ring implantation and posterior chamber intraocular lens implantation in the non-anomalous quadrant of the suspensa ligament under high intraocular pressure. IOP is normal, visual acuity improved in varying degrees. Conclusions The primary acute angle-closure glaucoma may cause the abnormality of the suspensory ligament of the lens and the intraocular pressure control is not satisfactory. Careful examination to understand the situation of the suspensory ligament, select the appropriate surgical site, timely grasp of the timing of surgery on the prognosis of patients is very important.